Information Collection

Applications For Special Certificates Under Flsa Requirements

IC 121777 under ICR 198009-1215-008 · OMB 1215-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0005 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	APPLICATIONS FOR SPECIAL CERTIFICATES UNDER FLSA REQUIREMENTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	WH-2, 205,	No	No
Form	222,	No	No
Form	226,	No	No
Form	227,	No	No
Form	247,	No	No
Form	249,	No	No
Form	& 373	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32,300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	32,300	5,550	26,750
Annual IC Time Burden (Hours)	17,000	1,609	15,391
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.